Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amanda Holliday

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1275128290

Amanda Holliday is a Student in an Organized Health Care Education/Training Program in Central Islip, New York. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021
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Practice location Address checks out

24 Walnut St
Central Islip, NY 11722-4160
Phone: (631) 524-8704
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Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1275128290
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 2, 2021
Last updated in NPPESMarch 2, 2021
Certification dateNovember 25, 2020
Mailing address24 Walnut St, Central Islip, NY 11722-4160

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